Provider Demographics
NPI:1780781427
Name:JUMAO-AS, RAMIL C (MD)
Entity type:Individual
Prefix:
First Name:RAMIL
Middle Name:C
Last Name:JUMAO-AS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3303 ROGERS RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3687
Mailing Address - Country:US
Mailing Address - Phone:210-951-1110
Mailing Address - Fax:210-610-5377
Practice Address - Street 1:3303 ROGERS RD STE 120
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3688
Practice Address - Country:US
Practice Address - Phone:210-951-1110
Practice Address - Fax:210-610-5377
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL2359207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL2359OtherMEDICAL LICENSE
TX147366208Medicaid
TXTXB120523Medicare UPIN